Providence Residential & Outpatient Ptsd Services, Llc

NPI 1215357272 - Counselor - 101Y00000X

NPI Details
NPI 1215357272
Enumeration Date 04/17/2014
Last Updated 04/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name FELICIA FELICIA
Position PRESIDENT
Phone (770) 577-7873
Fax (770) 577-7871
Practice Location
6576 CHURCH ST
DOUGLASVILLE GA, 30134-1884, US
Phone (770) 577-7873
Fax (770) 577-7871
Business Location
6576 CHURCH ST
DOUGLASVILLE GA, 30134-1884, US
Phone (770) 577-7873
Fax (770) 577-7871
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
Remove 1215357272 NPI Number
 

According to our database, Providence Residential & Outpatient Ptsd Services, Llc NPI is 1215357272, taxonomy code is 101Y00000X Providence Residential & Outpatient Ptsd Services, Llc physically located at 6576 Church St, Douglasville GA, 30134-1884. NPI Number 1033115704 has the healthcare provider type.

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1215357272 NPI number is provided on an as is basis without warranty of any kind. 1215357272 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Residential & Outpatient Ptsd Services, Llc are for informational purposes only.